Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
Garland Triad on Chest ... aka Pawnbroker's Sign ... #XRay #CXR #Pawnbrokers ... #Sign #clinical ... #radiology #pulmonary
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... Check apices for pneumothorax ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... Findings Pneumothorax ... sliding/barcode sign ... submassive PE) POCUS ... #Lung #POCUS #ultrasound
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
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Pulmonary Tuberculosis - Patterns of Involvement
 β€’ Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... level in hydro-pneumothorax ... #TB #Patterns #chest ... xray #clinical #radiology ... #CXR
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
Hemothorax on Lung POCUS ... with Spine Sign ... GSW to left chest ... focusing on lower chest ... #ultrasound #Pulmonary
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There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... assume that the pneumothorax ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
evidence of a chest ... infiltrate (e.g., CXR ... , CT, ultrasound ... production, pleuritic chest ... pain) and signs
Double Lung Point seen in a Small Pneumothorax on Lung POCUS

Young male with stab wound to
seen in a Small Pneumothorax ... on Lung POCUS ... stab wound to chest ... Upright CXR normal ... #ultrasound #Pulmonary
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Hilum Overlay Sign on Chest X-Ray
If a mass is in contact with the pulmonary vessels then,
Hilum Overlay Sign ... on Chest X-Ray ... contact with the pulmonary ... #Chest #XRay #clinical ... #radiology #CXR